Altaf F, Heran M K S, Wilson L F
Royal National Orthopaedic Hospital, Spinal Surgical Unit, Brockley Hill, Stanmore HA7 4LP, UK.
British Columbia's Children's Hospital, Department of Radiology, University of British Columbia, Vancouver, Canada.
Bone Joint J. 2014 Jun;96-B(6):717-23. doi: 10.1302/0301-620X.96B6.33075.
Back pain is a common symptom in children and adolescents. Here we review the important causes, of which defects and stress reactions of the pars interarticularis are the most common identifiable problems. More serious pathology, including malignancy and infection, needs to be excluded when there is associated systemic illness. Clinical evaluation and management may be difficult and always requires a thorough history and physical examination. Diagnostic imaging is obtained when symptoms are persistent or severe. Imaging is used to reassure the patient, relatives and carers, and to guide management.
背痛是儿童和青少年的常见症状。在此我们回顾一下重要病因，其中关节突部的缺陷和应力反应是最常见的可识别问题。当伴有全身疾病时，需要排除包括恶性肿瘤和感染在内的更严重病变。临床评估和处理可能具有挑战性，始终需要全面的病史和体格检查。当症状持续或严重时，需进行诊断性影像学检查。影像学检查用于安抚患者、亲属和护理人员，并指导治疗。
